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TIONTAE THOMAS CLARKE
NPI 1912877739
Nurse Practitioner - Psychiatric/Mental Health in Richmond, VA

Active since November 06, 2025PECOS EnrolledAccepts Medicare Assignment
1600 W BROAD ST APT 401, RICHMOND, VA 23220(757) 773-3515 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tiontae Thomas Clarke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIONTAE THOMAS CLARKE (NPI 1912877739) is an individual psychiatric/mental health provider in Richmond, Virginia, licensed in Virginia (0024194412) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (2025).

NPPES Registry Identity

NPI1912877739
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTIONTAE THOMAS CLARKE
Location Address1600 W BROAD ST APT 401Richmond, VA 23220-2139
Mailing Address1600 W Broad St Apt 401Richmond, VA 23220-2139 · (757) 773-3515
Phone(757) 773-3515
Sole ProprietorYes
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2025
Enumeration DateNovember 6, 2025
NPPES CertifiedNovember 6, 2025
✔ NPI 1912877739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024194412
1600 W BROAD ST APT 401, Richmond, VA 23220
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tiontae Thomas Clarke is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385101013
PECOS Enrollment IDI20260812002341
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tiontae Thomas Clarke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Virginia South Psychiatric & Family Services
26 mi
Psychiatry
269 MEDICAL PARK BLVD
Petersburg, VA 23805
  • Reassigned Medicare billing, Virginia enrollment
  • 56 clinicians in this Medicare group
NPI 1700894466 (804) 861-0700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiontae Thomas Clarke's NPI number?

The NPI number for Tiontae Thomas Clarke is 1912877739. It was assigned to this individual provider in the NPPES registry on November 6, 2025.

Where is Tiontae Thomas Clarke located?

Tiontae Thomas Clarke practices at 1600 W Broad St Apt 401, Richmond, VA 23220. The listed phone number is (757) 773-3515.

What is Tiontae Thomas Clarke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tiontae Thomas Clarke enrolled in Medicare?

Yes. Tiontae Thomas Clarke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Tiontae Thomas Clarke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiontae Thomas Clarke reassigns Medicare benefits to Virginia South Psychiatric & Family Services (Petersburg, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tiontae Thomas Clarke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tiontae Thomas Clarke was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.